Individual
MONIQUE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5118 E LINCOLN HWY, MERRILLVILLE, IN 46410-5915
(888) 220-6432
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 654-4201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28209085A
IN
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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